HomeMy WebLinkAbout0730 ~eclaratian of Domicile and Citizenship
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TO THE CLERK OF THE CIRCUIT COU~tT. ~~5 366
ST. LUC 1 E CpUNTY~ FLORIDA:
Tfiis ia my declantioa of Domicilo and Citir.enship ~n the State ot Florida that I am fiL'ng this day in aecordaace~ and in
eonformity with Section 222.17. Florida Statutes. , ~
I wu tocmerl a kgal resident oi F~ ~ , N E w ~ ciic ~t' and I
ICit71 lStatsl
resided at C E N T /e L R N~s . However. I have chaaged my domicile to
(8treaR asd Nu~opsrl ~
and am and have been a bona fide resideat of the State of Florida aince ~~'h day oi
A~~'i :G _ lg S'~ and I restde at 36tv~ . 7~•S 7•~i9~~~'~ ` c%//•9G cr ~/O
IStrest ~nd Number)
Fv 7' E.ZC G-' _ ST . L l1G 1 E County. Florida.
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and this statement is to be takea as my declaratioa of citizeaship. actual legal residenee and domicile in the Statc oi Florida.
IF i'OR THE PURPOSE OP ENROLLING IF FOR HOMESTEAD PURPOSES~
CHILDREN IN SCHOOI~ PIEASE STATE PLEASE CHECK: ~
THEIR NAHES:
~/70 i!/ i~ ~ . S~Y!/ ~7`'~i S O ~t/ '
~ v~?r9 .r) W S/~'li ~7`~i So ~ _ , FIlEO ~h~ ~~C~RDEO
ST.IUC?c ~Ut1NTr flA.
ROCE~ r~3~'•RAS ,l
~-if~u Y Q• SO CLEF.R c: '.U ~i COURT ~
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AtR ~ 9 19 AM'7`J
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j I FURTHER CERTIFY that I wi11 register at my local address when the registration books reopen. and comply with all
j other requirements oi a~egal resident of this. State.
~ I FllRTHE~ CERTIFY that I have no intention to return to my formcr domicile, and I inLend to remain in
E
~ ~a~ ST . L U C I E County,
t ~
tCitri .
Florida. permanenti; .
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" ~ (Name) ~
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~ ` , = 3~ D U -S'• ~l S7'' ~
~t/CE/o !~%~GG-#/D ~
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~ ~.v~,wo~h~tv~~ ~ ct~Ded before me this ~ day ot ~T C~ ~ ~L ~O ~
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.~i., : tifi.t e " A.D.19
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~ ROGER 01 TRAS, _ C~ERK OF G lRCUI T COURT
~ E COUtJTY Ft_OR i A
ST. LUCI , , .
BY:~
~ EPUTY LERK
C .
BOOK ~~•~7 PAGE Af n F'„rm 71-2?
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